National Provider Identifier
Michael Angelo Mazza, M.D.
Michael Angelo Mazza, M.D. is listed in the NPPES registry with a primary specialty of General Practice Physician in Spencerport, NY and a listed phone number of (585) 352-6810.
Profile Overview
- NPI
- 1841545415
- Provider Type
- Individual
- Primary Specialty
- General Practice Physician
- Enumeration Date
- July 19, 2012
- Last Updated
- July 19, 2012
Practice Location
- 3 Queensland Dr
- Spencerport, NY 14559-2065
Phone: (585) 352-6810
Mailing Address
- 3 Queensland Drive
- Spencerport, NY 14559
Specialties
- General Practice Physician (208D00000X)
Full Record
- NPI
- 1841545415
- Entity Type
- Individual
- Last Name
- Mazza
- First Name
- Michael
- Middle Name
- Angelo
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 3 Queensland Drive
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559
- Mailing Country
- US
- Mailing Phone
- (585) 352-6810
- Practice Street Address
- 3 Queensland Dr
- Practice City
- Spencerport
- Practice State
- NY
- Practice ZIP Code
- 14559-2065
- Practice Country
- US
- Practice Phone
- (585) 352-6810
- Enumeration Date
- July 19, 2012
- Last Updated
- July 19, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Physician (208D00000X)